Method for identifying immunoreactive peptides

ABSTRACT

The invention relates to a method for identifying immunoreactive peptides. According to said method, a sample of tumorous and corresponding healthy tissue is first provided, the tumor-specific expression profile is subsequently determined and antigenic peptides are isolated from the tumorous tissue and analyzed. The respective data that has been obtained is then matched and peptides are identified on the basis of said data.

CROSS-REFERENCE TO RELATED APPLICATIONS

This application is a Continuation of U.S. application Ser. No.11/000,474, filed Nov. 29, 2004, incorporated herein by reference in itsentirety, which is a Continuation of International Application No.PCT/EP03/05038, filed May 14, 2003, designating the United States andpublished in German as WO 03/100432, which claims priority to GermanApplication No. 102 25 139.8, filed May 29, 2002.

TECHNICAL FIELD

The invention relates to a method for identifying and to a method forpreparing immunoreactive peptides and to the immunoreactive peptidesidentified/prepared thereby.

Such peptides are being used—for example—in immunotherapy oftumor-associated diseases. When tumor cells are eliminated by the immunesystem the identification of tumor-associated antigens (TAA) bycomponents of the immune system plays a pivotal role. This mechanism isbased upon the fact that there exist qualitative or quantitativedifferences between tumor cells and normal cells. To induce ananti-tumor response, the tumor cells have to express antigens whichinduce an immune response being sufficient for the elimination of thetumor.

CD8 expressing cytotoxic T-lymphocytes (in the following CTL), inparticular, are involved in rejection of tumors. To induce such animmune reaction by cytotoxic T-cells foreign proteins/peptides have tobe presented to T-cells. Antigens are recognized as peptide fragments byT-cells only if they are presented by MHC-molecules on cell surfaces.These MHC (“major histocompatibility complex”) molecules are peptidereceptors which normally bind peptides intracellularly and transportthem to the cell surface. This complex of peptide and MHC-molecule isrecognized by T-cells. Human MHC-molecules are also designated as humanleukocyte antigens (HLA).

In the past, antigen-specific immunotherapy based on T-cells has provensuccessful in the treatment of cancer.

Induction of a specific CTL response directed against a tumor isdependent on identification of MHC class I-ligands derived fromtumor-associated antigens (TAA). Such TAA can be exclusively present inmalignant cells, for example as products of mutated genes. Otherimportant classes of tumor-associated antigens are tissue-specificstructures such as the cancer-testis antigens, and a third class oftumor-associated antigens are proteins overexpressed in tumors.

BACKGROUND ART

The methods for identification and characterization of TAA, whichrepresent the starting point for a tumor vaccine, are—on the onehand—based on the use of patient derived CTL or antibodies. Thisimmunological approach is combined either with a gene expressionapproach or with a mass-spectrometry (MS)-assisted sequencing of therecognized peptides (see van der Bruggen, et al., 1991, A gene encodingan antigen recognized by cytolytic Tlymphocytes on a human melanoma,Science 254: 1643-1647, and Cox et al., 1994, Identification of apeptide recognized by five melanoma-specific human cytotoxic T-celllines, Science 264: 716-719). Methods for identifying TAA which arebased on comparative transcription profiling of tumorous andcorresponding normal tissue are—for example—hybridization and the use ofDNA microarray technology.

Celis et al., 1994, Induction of anti-tumor cytotoxic T-Iymphocytes innormal humans using primary cultures and synthetic peptide epitopes,Proc. Natl. Acad. Sci. USA 91: 2105-2109, applied a method which takesadvantage of the prediction of MHC class I-ligands derived from aselected tumor-associated antigen, and in which these ligands wereverified as Tcell epitopes in a next step.

Drawbacks of patients-derived T-cell-based approaches are the extensiveculture techniques and their restriction to the frequency ofpre-existing T-cells.

Another T-cell-independent approach also known in the art combinesepitope prediction and screening for predicted peptides in complexpeptide mixtures, the peptides being identified by highly sensitivecapillary liquid chromatography mass spectrometry (LC-MS) (see Schirleet al., 2000, Identification of tumor-associated MHC class I-ligands bya novel T-cell independent approach, Eur. J. Immunol. 30: 2216-2225).

DNA microarray technology provides a new approach using comparativeexpression profiling of tumorous and corresponding autologous normaltissue. Young et al., 2001, Expression profiling of renal epithelialneoplasms: a method for tumor classification and discovery of diagnosticmolecular markers, Am. J. Pathol. 158: 1639-1651, disclosed that byusing this technique a large number of tumor-associated antigens fromindividual tumor samples can be identified. MHC-I-ligands derived fromoverexpressed or selectively expressed proteins provide possible targetsfor specific CTL recognition of tumors. Mathiassen et al., 2001,Tumor-associated antigens identified by mRNA expression profiling induceprotective antitumor immunity, Eur. J. Immuno. 31: 1239-1246,demonstrated, in a mouse model, that by combining expression analysiswith epitope prediction a successful vaccine can be prepared.

However, a disadvantage is that epitope prediction even for only a fewtarget genes results in the identification of a vast number of candidatepeptides, the majority of which are actually not presented by MHCmolecules and thus do not induce a CTL-response.

DISCLOSURE OF THE INVENTION

Therefore, it is an object of the present invention to provide a newmethod for selective and simple identification of immunoreactivepeptides.

According to the invention, this object is achieved by means of a methodfor identifying immunoreactive peptides comprising:

(a) providing a sample of tumorous and corresponding healthy tissue;

(b) determining tumor-specific expression profile of the providedsample,

(c) isolating and analyzing of antigenic peptides in the sample oftumorous tissue,

(d) matching data obtained in step (b) and (c), and

(e) identifying peptides on basis of the matched data.

The inventors revealed that by combining an expression analysis withantigenic tumor peptides, which have been isolated and analyzed,specific candidates for an individual vaccine can be identified.

By isolating antigenic peptides and matching them with gene expressionprofiles of tumorous tissue it can be avoided that a vast number ofpossible immunoreactive peptides is obtained. Rather, specific peptidesare identified, which are actually presented by MHC molecules and whichare thus suitable as immunoreactive peptides.

With the method according to the invention it is, respectively, possibleto identify patient-specific peptides, i.e. it is possible to preciselymatch peptides, which are to be used as vaccine, to the patient, inorder to induce a specific immune response.

For example, industrial laboratories—after having received patientsamples—can systematically and efficiently perform this method, andcan—after having identified suitable immunoreactive peptides—provideclinics in charge with the peptide sequences; the clinics can thensynthesize and administer the peptides. Nevertheless, it is alsopossible that a laboratory is carrying out identification as well asproduction of the peptides suitable for the respective patient.

Therefore, the new method is applicable within the scope of a mereservice as well as in combination with the supply of the identifiedimmunoreactive peptide.

A further object is the method according to the invention, wherein thepeptides isolated in step (c) are MHC-ligands.

Only peptides which are bound to MHC-molecules can induce a cellularimmune response. Peptides which are derived, for example, fromoverexpressed genes of a tumor but which are not bound to MHC-molecules,do not induce a CTL immune reaction. Therefore, not all peptides, forexample, identified solely by epitope prediction are immunoreactive.

A further object is the method according to the invention, wherein step(b) is performed by means of a microarray-analysis and/or reversetranscription-polymerase chain reaction.

With microarray analysis the expression profile of tumorous tissue iscompared with corresponding normal tissue by using certain DNA- orgene-chips, and selectively expressed or overexpressed genes areidentified. This method is well known in the art and is, for example,disclosed in Schena et al., 1995, Quantitative monitoring of geneexpression patterns with a complementary DNA microarray, Science 270:467-470.

Reverse transcription-polymerase chain reaction (in the followingRT-PCT) can be utilized to quantify expression of a gene.

For this purpose cDNA is generated from RNA, which—for example—has beenisolated from tumor cells, and the cDNA is consequently used as templatefor PCR. In that way, on the basis of the amplified DNA one can comparewhich genes are being transcribed with which intensity.

Yet a further object is the method according to the invention, whereinstep (c) is performed by means of a mass spectrometer.

Using this technique each peptide can be identified precisely andefficiently with high performance. For example, Schirle et al., 2000,Identification of tumor-associated MHC class I ligands by a novelT-cell-independent approach, Eur. J. Immunol. 30: 2216-2225, describethe use of mass spectrometry to identify peptides derived from tumortissue.

A further object is the method according to the invention, wherein instep (c) candidate antigenic peptides are predicted on the basis of theexpression profile using suitable databases, and the mass spectrometeris calibrated with respect to the predicted antigens.

Use of databases for prediction of candidate antigens and utilizing theobtained data is—for example—disclosed in Schirle et al., 2001,Combining computer algorithms with experimental approaches permits rapidand accurate identification of T-cell epitopes from defined antigens, J.Immunol. Methods, 257: 1-16.

Yet a further object is the method according to the invention, whereinstep (c) is followed by a further step, in which the reactivity ofperipheral leukocytes, preferably of T-leukocytes, against the isolatedantigenic peptides, is tested.

A further object is the method according to the invention, wherein thereactivity of peripheral leukocytes against the isolated antigenicpeptides is tested by means of measuring □-Interferon-mRNA and/orcytokin-mRNA synthesized by the leukocytes.

By detecting □-Interferon- or cytokin-mRNA it is possible to preciselyprove the specific reactivity of leukocytes, preferably of T-lymphocytesagainst antigenic peptides. Both substances are secreted by activatedT-lymphocytes after their activation by corresponding antigenicpeptides.

With this additional step candidates of the already identified peptidescan be identified even more precisely.

Yet another object is the method according to the invention, wherein,following step (c), a further step is performed, in which the presenceof the T-lymphocytes is detected.

Using this method it is possible to specifically detect to what extentT-lymphocytes directed against isolated and identified peptides arepre-existing in patients. By performing this step it is possible toapply, as a vaccine, only those peptides against which T-lymphocytes arealready pre-existing in the patient. The peptides can then be used toactivate these specific T-lymphocytes.

A further object is the method according to the invention, wherein thedetection of specific pre-existing T-lymphocytes is performed bylabeling the leukocytes with reconstituted complexes ofantigen-presenting molecules and antigenic peptide.

With this method the so-called tetramer-technology is utilized. A methodfor generating such reconstituted complexes (“tetramers”) and forutilizing them is disclosed, for example, in Altman et al., 1996,Phenotypic analysis of antigen-specific T-lymphocytes, Science 274:94-96.

Further objects of the invention are immunoreactive peptides, which areidentified and prepared by the method according to the invention.

After identification these peptides can be selectively and specificallyprepared for each patient.

Another object of the invention is a pharmaceutical compositioncomprising one or more peptides which have been identified and/orprepared by the method according to the invention.

The composition may be applied, for example, parenterally, for examplesubcutaneously, intradermally or intramuscularly, or may be administeredorally. In doing so, the peptides are dissolved or suspended in apharmaceutically acceptable carrier, preferably an aqueous carrier; thecomposition can further comprise additives, for example buffers,binders, etc. The peptides can also be administered together withimmunostimulating substances, for example cytokins An extensivedescription of additives which can be used in compositions of thisnature is given, for example, in A. Kibbe, Handbook of PharmaceuticalExcipients, 3. Ed., 2000, American Pharmaceutical Association andPharmaceutical Press.

According one object of the invention the peptide may be used fortreatment of tumor diseases and for preparing a medicament for treatmentof tumor diseases.

Tumor diseases to be treated comprise renal, breast, pancreas, gastric,testis and/or skin cancer. Listing of tumor diseases is supposed to bemerely illustrative and shall not limit the scope of usage.

The peptide can further be used for assessment of the therapy-course ofa tumor disease.

The peptide can also be used for monitoring a therapy in otherimmunizations or therapies. In that way the peptide according to theinvention may not only be used in a therapeutical way but also in adiagnostic way.

A further embodiment object of the invention is using the peptides forgenerating an antibody.

Polyclonal antibodies can be obtained, in a general manner, byimmunization of animals by means of injection of the peptides andsubsequent purification of the immunoglobulin.

Monoclonal antibodies can be generated according to standardizedprotocols, for example as described in Methods Enzymol. (1986), 121,Hybridoma technology and monoclonal antibodies.

Further objects of the invention are nucleic acid molecules coding forthe peptide isolated with the method according to the invention.

The nucleic acid molecules can be DNA- or RNA-molecules and can be usedfor immune therapy of cancer as well.

According to one object of the invention the nucleic acid molecules canbe provided in a vector.

A further object of the invention is a cell genetically modified bymeans of the nucleic acid molecule, such, that the cell is producing apeptide identified according to the invention.

Another object of the invention is a method for preparing animmunoreactive peptide with which a peptide is identified according tothe disclosed method and the identified peptide is synthesizedchemically, in vitro or in vivo.

Peptides can be prepared by chemical linkage of amino acids, for exampleby the method of Merrifield, which is known in the art (see Merrifield RB, 1963, J. Am. Chem. Soc. 85 :2149-2154).

Peptides can be prepared in vitro, for example, in cell-free systems,and in vivo by using cells.

Another object of the present invention is a method for preparing avaccine comprising the steps of

(a) performing the disclosed method,

(b) preparing the identified immunoreactive peptides, and

(c) formulating the prepared immunoreactive peptides.

It will be understood that the features which are mentioned above andthe features still to be explained below can be used not only in thecombinations which are in each case specified but also in othercombinations or on their own without departing from the scope of thepresent invention.

BRIEF DESCRIPTION OF THE DRAWINGS

Embodiments of the invention are displayed and explained in the figuresand the example below.

FIG. 1 shows the expression analysis of selected genes by means ofquantitative RT-PCR;

FIG. 2 shows the detection of keratin 18-specific CD8+ T-lymphocytes.

MODES OF CARRYING OUT THE INVENTION EXAMPLE 1 Patient Samples

Samples of patients having histologically confirmed renal cell carcinomawere obtained from the department of urology, University of Tubingen.Both patients had not received preoperative therapy. Patient No. 1 (inthe following designated RCC01) had the following HLA-typing: HLA-A*02A68 B*18 B*44; patient No 2 (in the following designated RCCI3) HLA-A*02A*24 B*07 B*40.

Isolation of MHC Class 1-Bound Peptides

Shock-frozen tumor samples were processed as described in Schirle, M. etal., Identification of tumor-associated MHC-class I ligands by a novelT-cell-independent approach, 2000, European Journal of Immunology, 30:2216-2225. Peptides were isolated according to standard protocols usingmonoclonal antibody W6/32 being specific for HLA class I or monoclonalantibody BB7.2 being specific for HLA-A2. Production and utilization ofthese antibodies is described by Barnstable, C. J. et al., Production ofmonoclonal antibodies to group A erythrocytes, HLA and other human cellsurface antigens—New tools for genetic analysis, 1978, Cell, 14:9-20 andParham, P. & Brodsky, F. M., Partial purification and some properties ofBB7.2. A cytotoxic monoclonal antibody with specificity for HLA-A2 and avariant of HLAA28, 1981, Hum. Immunol., 3: 277-299.

Mass Spectrometry

Peptides from tumor tissue of patient RCCO1 were separated by reversedphase HPLC (SMART-system, μRPC C2/C18 SC 2.1/19, Amersham PharmaciaBiotech) and fractions were analyzed by nanoESI MS. In doing so it wasproceeded as described in Schirle, M. et al., Identification oftumor-associated MHC class I ligands by a novel T-cell-independentapproach, 2000, European Journal of Immunology, 30: 2216-2225.

Peptides from tumor tissue of patient RCC13 were identified by onlinecapillary LCMS as mentioned above with minor modifications: Samplevolumes of about 100 μl were loaded, desalted and preconcentrated on a300 pm*5 mm C18 μ-precolumn (LC packings). A syringe pump (PHD 2000,Harvard Apparatus, Inc.) equipped with a gastight 100 pμl-syringe (1710RNR, Hamilton), delivered solvent and sample at 2 μl/min. For peptideseparation, the preconcentration column was switched in line with a75*250 mm C-18-column (LC packings). Subsequently a binary gradient of25%-60% B within 70 min was performed, applying a 12 μl/min flow ratereduced to approximately 300 nl/min with a precolumn using a TEE-piece(ZT1C, Valco) and a 300 μm*150 mm C-18-column.

A blank run was always included to ensure that the system was free ofresidual peptides. On-line fragmentation was performed as described andfragment spectra were analyzed manually.

Database searches (NCBInr, EST) were made using MASCOT.

Preparation of RNA

Fragments of normal and malignant renal tissue were dissected,shock-frozen, ground by a mortar and pestle under liquid nitrogen andhomogenized with a rotary homogenizer (Heidolph instruments) in TRIZOL(Life Technologies). Total RNA was prepared according to themanufacturer's protocol followed by a clean-up with RNeasy (QIAGEN).Total RNA from human tissues were obtained commercially (Human total RNAMaster Panel II, Clontech).

High-Density Oligonucleotide Micro-Array Analysis

Double-stranded DNA was synthesized from 40 μg of total RNA usingsuperscript RT II reverse transcriptase (Life Technologies). The primer(Eurogentec) were given by the Affymetrix manual. In vitro transcriptionwas performed using the BioArray™ High Yield™ RNA Transcript LabelingKit (ENZO Diagnostics, Inc.); subsequently, fragmentation andhybridization were carried out on Affymetrix HuGeneFL gene chips, andstaining with a streptavidin-phycoerythrin and biotinylatedanti-streptavidin-antibody followed the manufacturer's protocols(Affymetrix). The Affymetrix GeneArray Scanner was used and data wereanalyzed with the Microarray Analysis Suite 4.0 Software.

Real Time RT-PCR

cDNA generated for microarray analysis was used for quantitative PCRanalysis.

Each gene was run in duplicates (40 cycles, 95° C.×15 s, 60° C.×1 min)using SYBRGreen chemistry on the ABI PRISM 7700 sequence detectionsystem (Applied Biosystems). Samples were independently analyzed two tothree times. Primers (MWGBiotech) were selected to flank an Intron andPCR efficiencies were tested for all primer pairs and found to be closeto 1.

PCR products were analyzed on 3% agarose gels for purity andsequence-verified after cloning into pCR4-TOPO vector using the TOPO TACloning Kit (Invitrogen). Data analysis involved the delta CT method forrelative quantification.

Laser Capture Microdissection

Embedded frozen tissue specimens were cut at 6 μm thickness andtransferred in 70% ethanol for about 15 min. Slides were incubated 90seconds in Mayer's hematoxylin (Merck), rinsed in water, incubated for 1min in 70% ethanol, 1 min in 95% ethanol, 30 seconds in 1% alcoholiceosin Y (Sigma), 2×2 min in 95% ethanol, 2×2 min in 100% ethanol andfinally 2×2 min in xylene. After air drying for 15 minutes, slides werestored under dry conditions. Normal malignant epithelial tubular cellsand carcinoma cells were isolated by a Laser Capture Microdissection(LCM) using the PixCell II LCM system (Arcturus Engineering). Total RNAwas extracted in 400 μl TRIZOL.

PBMC, Tetramer Production and Flow Cytometry

Peripheral blood mononuclear cells (in the following PBMC) from twohealthy donors (HDI and HD2), which were serologically typed asCMV-positive, were isolated by gradient centrifugation (FicoLite H) andfrozen.

HLA-A*0201 tetrameric complexes were produced as described by Altman etal., 1996, Phenotypic analysis of antigen-specific T-lymphocytes,Science 274: 94-96, as follows: The HLA-A2-binding peptides used for therefolding were ALLNIKVKL from keratin 18 and NLVPMVATV from pp65 HCMVA.Tetramers were assembled by mixing biotinylated monomers withstreptavidin-PE or streptavidin-APC and 2-3×10⁶ cells were incubated 30min at 4° C. with both tetramers: 10 μg/ml for each monomer in PBS,0.01% NaN₃, 2 mM EDTA, 50% fetal calf serum). Then, monoclonalantibodies Anti-CD4-FITC (Coulter-Immunotech) and Anti-CD8-PerCP (BectonDickinson) were added for 20 min. After three washes, samples were fixedin FACS buffer, 1% formaldehyde. Four-color analysis was performed on aFACScalibur cytometer (Becton Dickinson).

Results

The expression of approximately 7,000 genes in tumors and correspondingnormal tissue of two renal cell carcinoma was analyzed. Between 400 and500 genes were found to be overexpressed or selectively expressed in thetumor. 70 genes were overexpressed in the tumors of both patients. Inpatient I, 268 overexpressed and 129 exclusively expressed genes werefound. Most of the overexpressed genes are cancer-related, i.e., eitheroncogenes, tumor suppressor genes or genes already described asoverexpressed in cancer, such as CCND1, CA9, cerebrosidesulfotransferaseand parathyroid hormone-like hormone. The cancer-associated adiposedifferentiation-related protein (ADFP) or adipophilin, showed the secondhighest degree of overexpression. In addition, this protein was shown tobe highly overexpressed in tumorous tissue in comparison to normaltissue of other organs, that is not only in comparison to normal renaltissue.

To verify data obtained by microarray analysis the expression ofselected genes was analyzed by quantitative PCR. In FIG. 1, theexpression-analysis of selected genes by means of RT-PCR is shown. TheRT-PCR was performed using the same cDNA as generated for microarrayanalysis. Copy numbers are relative to 18S rRNA and normalized to thenormal tissue (=1) of each patient. The black bars correspond to thenumbers in tumor tissue of patient RCC01, the white bars represent thenumbers of normal tissues and the angular-striped gray bars the numbersin tumor tissue of patient RCC13.

It was shown that overexpression of adipophilin (ADFP) and cycline D1(CCND1) as proven by microarray could be confirmed by quantitative PCR.Further, it was demonstrated that ets-1 (ETS1) was expressed equallyboth in normal and in tumor tissue. Further, relative expression levelsdetected by both techniques were roughly comparable.

For example, adipophilin was overexpressed in tumor tissue of patientRCCOI by a factor of 29.1 as proven by means of microarray, compared to18.1 as measured by means of quantitative PCR (see FIG. 1). With patientRCC13, by means of microarray analysis a factor of 11.4 and by means ofquantitative PCR a factor of 6.7 could be demonstrated (see FIG. 1).Galectin 2 (LGALS2) was overexpressed in patient RCCO1 and keratin-18(KRT18) in patient RCC13. An exception to the congruence betweenmicroarray and quantitative PCR was the overexpression of KIAA0367 andmet proto-oncogene (MET) in patient RCC13.

Identification of MHC Class 1-Ligands

A total of 85 ligands could be obtained from tumor tissue, which werebound to HLA-subtypes HLA-A*02, HLA-A*68, HLA-B*18 or HLA-B*44. Peptidesthat bind to HLAA*02 reflected the allele-specific peptide motif(Leucine, Valine, Isoleucine, Alanine, Methionine on position 2,Leucine, Valine, Isoleucine or Alanine at the C-Terminus). Most ligandswere derived from abundantly expressed housekeeping proteins, butligands from proteins with reported tumor association could be detectedalso, for example, YVDPVITSI derived from met proto-oncogene, ALLNIKVKLderived from keratin 18, and SVASTITGV from adipophilin.

HLA-A*68 ligands were identified by their anchor amino acids Threonine,Isoleucine, Valine, Alanine or Leucine on position 2 and arginine orlysine at the C-terminus. Two other ligands from adipophilin were foundamong HLA-A*68-presented peptides: MTSALPIIQK and MAGDIYSVFR. Ligandscarrying glutamic acid on position 2 were assigned to HLA-B*44; sincethe peptide motif of HLA-B*18 is unknown, a distinction between ligandsof these two HLA-B-molecules was not possible.

Comparison of microarray data with the isolated ligands indicated 10overexpressed genes as sources for MHC-ligands: adipophilin, KIAA0367,SEC14-like 1, B-cell translocation gene 1, aldolase A, cycline D1,annexin A4, catenin alpha 1, galectin 2 and LMP2. Three of them werealso included in the SEREX database: KIAA0367, aldolase A and cateninalpha 1.

A most interesting ligand could be identified from patient RCC13(ALAAVVTEV) encoded by a “Reading frame” shifted by one nucleotidecompared to DEAD/H-box polypeptide 3 (DDX3). ALAAVVTEV is encoded by thenucleotides 317 to 343 of the coding strand of DDX3, whereas nucleotides316 to 342 are coding for GIGSRGDRS of the DDX3 protein.

Detection of Specific T-ceHs in Normal CD8⁺ T-Cell Repertoire

PBMC from 6 HLA-A2 positive renal cell carcinoma patients were testedfor reaction against four of the relevant peptides: HLA-A*02-restrictedligands from adipophilin, keratin 18, K1AA0367 and met-proto-oncogene.In doing so, a very sensitive quantitative PCT assay was carried out todetect γ-Interferon-mRNA production by CD8⁺ T-cells following a 7 day-invitro-sensitization with peptide. Sporadic responses were seen afterstimulation with met-proto-oncogene or keratin 18 or adipophilinpeptides.

Staining of PBMC of tumor patients and healthy individuals withHLA-A*0201 tetramers was performed with tetramers reconstituted eitherwith adipophilin, keratin 18 or met-proto-oncogene.

FIG. 2 shows the detection of keratin 18-specific T-lymphocytes. Forthis purpose, PBMC from four healthy HLA-A*02⁺ donors (HD 1, 2, 4, 6)were simultaneously stained with HLA-A2/keratin 18-PE tetramers,HLA-A2/CMV-APC tetramers, CD8-PerCP and CD4-FITC. Dot plots show samplesfrom one of three independent experiments for 1×10⁶ PBMC. In the plots,percentage of tetramer⁺-cells within the CD8⁺ CD4⁻ population areindicated.

Unexpectedly, a significant population of CD8⁺ T-lymphocytes specificfor keratin 18 (between 0.02% and 0.2% of CD8⁺ T-cells) was found in 4out of 22 healthy individuals. This population did not stain with a CMVtetramer showing that the binding of keratin 18 tetramer was specific.

To summarize, it can be concluded that CD8⁺ T-lymphocytes specific forthe keratin 18-peptide are contained in the human T-cell repertoire.

1. Method for identifying immunoreactive peptides comprising thefollowing steps: a) providing a sample of tumorous and correspondinghealthy tissue, b) determining the tumor-specific expression profile inthe provided sample, c) isolation and analysis of antigenic peptides inthe sample of tumorous tissue, d) matching the data obtained in steps b)and c), and e) identification of peptides on the basis of the matcheddata.
 2. Method according to claim 1, wherein the antigenic peptides areMHC-ligands.
 3. Method according to claim 1, wherein step b) isperformed by microarray analysis and/or reversedtranscriptase-polymerase chain reaction.
 4. Method according to claim 2,wherein step b) is performed by microarray analysis and/or reversedtranscriptase-polymerase chain reaction.
 5. Method according to claim 1,wherein in step c) analysis is performed by mass spectrometry.
 6. Methodaccording to claim 2, wherein in step c) analysis is performed by massspectrometry.
 7. Method according to claim 3, wherein in step c)analysis is performed by mass spectrometry.
 8. Method according to claim5, wherein in step c) candidate antigenic peptides are predicted onbasis of the expression profile using suitable databases, and that themass spectrometer is calibrated in view of the peptides.
 9. Methodaccording to claim 6, wherein in step c) candidate antigenic peptidesare predicted on basis of the expression profile using suitabledatabases, and that the mass spectrometer is calibrated in view of thepeptides.
 10. Method according to claim 7, wherein in step c) candidateantigenic peptides are predicted on basis of the expression profileusing suitable databases, and that the mass spectrometer is calibratedin view of the peptides.
 11. Method according to claim 1, wherein afterstep c) a further step is performed, in which the reactivity ofperipheral leukocytes, preferably T-lymphocytes, is tested against theisolated antigenic peptides.
 12. Method according to claim 2, whereinafter step c) a further step is performed, in which the reactivity ofperipheral leukocytes, preferably T-lymphocytes, is tested against theisolated antigenic peptides.
 13. Method according to claim 3, whereinafter step c) a further step is performed, in which the reactivity ofperipheral leukocytes, preferably T-lymphocytes, is tested against theisolated antigenic peptides.
 14. Method according to claim 4, whereinafter step c) a further step is performed, in which the reactivity ofperipheral leukocytes, preferably T-lymphocytes, is tested against theisolated antigenic peptides.
 15. Method according to claim 5, whereinafter step c) a further step is performed, in which the reactivity ofperipheral leukocytes, preferably T-lymphocytes, is tested against theisolated antigenic peptides.
 16. Method according to claim 11, whereinthe reactivity test is performed by means of measuring cytokine-mRNAand/or γ-Interferon mRNA synthesized by the leukocytes.
 17. Methodaccording to claim 1, wherein after step c) a further step is performed,in which the presence of specific T-lymphocytes is detected.
 18. Methodaccording to claim 2, wherein the reactivity test is performed by meansof measuring cytokine-mRNA and/or γ-Interferon mRNA synthesized by theleukocytes.
 19. Method according to claim 3, wherein the reactivity testis performed by means of measuring cytokine-mRNA and/or γ-InterferonmRNA synthesized by the leukocytes.
 20. Method according to claim 4,wherein the reactivity test is performed by means of measuringcytokine-mRNA and/or γ-Interferon mRNA synthesized by the leukocytes.21. Method according to claim 17, wherein detection of specificT-lymphocytes is carried out by means of labeling leukocytes withreconstituted complexes of antigen-presenting molecules and antigenicpeptide.
 22. Method for preparing an immunoreactive peptide, in which apeptide is identified according to the method of claim 1 and that theidentified peptide is synthesized chemically, in vitro or in vivo. 23.Method for preparing an immunoreactive peptide, in which a peptide isidentified according to the method of claim 2 and that the identifiedpeptide is synthesized chemically, in vitro or in vivo.
 24. Method forpreparing an immunoreactive peptide, in which a peptide is identifiedaccording to the method of claim 3 and that the identified peptide issynthesized chemically, in vitro or in vivo.
 25. Method for preparing animmunoreactive peptide, in which a peptide is identified according tothe method of claim 4 and that the identified peptide is synthesizedchemically, in vitro or in vivo.
 26. Method for preparing animmunoreactive peptide, in which a peptide is identified according tothe method of claim 5 and that the identified peptide is synthesizedchemically, in vitro or in vivo.
 27. Method for preparing animmunoreactive peptide, in which a peptide is identified according tothe method of claim 6 and that the identified peptide is synthesizedchemically, in vitro or in vivo.
 28. Method for preparing animmunoreactive peptide, in which a peptide is identified according tothe method of claim 7 and that the identified peptide is synthesizedchemically, in vitro or in vivo.
 29. Method for preparing animmunoreactive peptide, in which a peptide is identified according tothe method of claim 8 and that the identified peptide is synthesizedchemically, in vitro or in vivo.
 30. Immunoreactive peptide identifiedby a method according to claim
 1. 31. Immunoreactive peptide, saidpeptide being prepared by a method according to claim
 10. 32.Immunoreactive peptide identified by a method according to claim
 2. 33.Immunoreactive peptide identified by a method according to claim
 3. 34.Immunoreactive peptide identified by a method according to claim
 4. 35.Immunoreactive peptide identified by a method according to claim
 5. 36.Immunoreactive peptide identified by a method according to claim
 6. 37.Immunoreactive peptide identified by a method according to claim
 7. 38.Immunoreactive peptide identified by a method according to claim
 8. 39.Pharmaceutical composition comprising one or more peptides according toclaim
 30. 40. Method for treating a tumor disease comprising the step ofadministering a peptide according to claim
 11. 41. Method for assessingthe therapy-course of a tumor disease, the method comprising the step ofusing a peptide according to claim
 30. 42. Method for preparing anantibody, wherein a peptide according to claim 30 is used.
 43. Nucleicacid molecule encoding a peptide according to claim
 30. 44. Vectorcomprising a nucleic acid molecule according to claim
 42. 45. Cellgenetically modified by a nucleic acid molecule according to claim 43,which is producing a peptide according to claim
 30. 46. Method forpreparing a vaccine comprising the steps of: a) performing a methodaccording to claim 1; b) preparing the identified immunoreactivepeptides; and c) formulating the prepared immunoreactive peptides. 47.Method for preparing a vaccine comprising the steps of: a) performing amethod according to claim 2, and b) preparing the identifiedimmunoreactive peptides and c) formulating the prepared immunoreactivepeptides.
 48. Method for preparing a vaccine comprising the steps of: a)performing a method according to claim 3, and b) preparing theidentified immunoreactive peptides and c) formulating the preparedimmunoreactive peptides.
 49. Method for preparing a vaccine comprisingthe steps of: a) performing a method according to claim 4, and b)preparing the identified immunoreactive peptides and c) formulating theprepared immunoreactive peptides.
 50. Method for preparing a vaccinecomprising the steps of: a) performing a method according to claim 5,and b) preparing the identified immunoreactive peptides and c)formulating the prepared immunoreactive peptides.
 51. Method forpreparing a vaccine comprising the steps of: a) performing a methodaccording to claim 6, and b) preparing the identified immunoreactivepeptides and c) formulating the prepared immunoreactive peptides. 52.Method for preparing a vaccine comprising the steps of: a) performing amethod according to claim 7, and b) preparing the identifiedimmunoreactive peptides and c) formulating the prepared immunoreactivepeptides.
 53. Method for preparing a vaccine comprising the steps of: a)performing a method according to claim 8, and b) preparing theidentified immunoreactive peptides and c) formulating the preparedimmunoreactive peptides.